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Corey Wallace

NPI 1356027999 · on the registry since 2023 · sole proprietor

Practice

Address
2460 25th St Ne
Canton, OH 44705
Phone
(330) 704-0134
Clinicians at this address
2

Registry record

Primary taxonomy
385HR2060X
385HR2060X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio